关键词: 急性胆囊炎, 经皮经肝胆囊穿刺置管引流, 肝硬化

Abstract: 【Abstract】〓Objective〓To investigate the effectiveness and safety of ultrasound-guided percutaneous transhepatic gallbladder drainage for acute cholecystitis in patients with liver cirrhosis. Methods〓There were 12 cases included in the retrospective study..All patients with liver cirrhosis and portal hypertension suffered from acute cholecystitis and received ultrasound-guided percutaneous transhepatic gall bladder drainage during December 2013 to December 2014. There were 7 cases with liver function of Child-pugh A, and 5 cases with Child-pugh B. Postoperative complications, inflammation resolution and improvement of liver fuction of the 12 cases were analyzed. Results〓All 12 cases achieved inflammation resolution of the gall bladder after ultrasound-guided percutaneous transhepatic gallbladder drainage,.and received laparoscopic cholecystectomy..Two cases presented with intraperitoneal hemorrhage, and cured with conservative treatment. All 12 cases presented with no other complication, and some cases presented with improvement of liver function. Conclusion〓Ultrasound-guided percutaneous transhepatic gallbladder drainage was safe and effective for acute cholecystitis in patients with liver cirrhosis, who can subsequently receive laparoscopic cholecystectomy safely.

Key words: Acute cholecystitis, Ultrasound-guided percutaneous transhepatic gall bladder drainage, Liver cirrhosis